我国南方腰痛和膝痛患病率低于北方:汕头COPCORD研究报告  

A low prevalence of knee and low back pain in southeast China: the Shantou COPCORD study

作　　者：曾庆馀[1] 肖征宇[1] 陈肃标[1] 陈韧 刘源[3] John Darmawan Richard Wigley 

机构地区：[1]汕头大学医学院风湿病研究室,515041 [2]广东省澄海市人民医院内科 [3]汕头大学医学院附属一院放射科 [4]WHO Collaborating Centre,Seroja [5]Clinic Palmerston North Hospital

出　　处：《中华风湿病学杂志》2005年第4期206-210,共5页Chinese Journal of Rheumatology

摘　　要：目的验证20世纪80年代中国-国际抗风湿联盟(ILAR-China)调查所见,我国南方腰痛(LP)、膝痛(KP)患病率低于北方的结果,并且探讨相关危险因素。方法用社区控制风湿病规划(COPCORD)第Ⅰ、Ⅱ期询问表,对澄海市区16岁以上居民2040名进行调查。有风湿症状者进行体检,疑似关节炎者进行X线和实验室检查。结果风湿痛总患病率为18.1%;KP7.5%,其中55%为膝骨关节炎;LP患病率11.5%,其中69%为腰椎骨关节炎。平房居民KP患病率为5.6%,LP7.9%;而楼房居民KP9.1%,LP16.2%。KP、LP患病率均低于北京所见。结论我国南方KP和LP患病率明显低于北方,推测与气候因素有关。楼房居民KP、LP患病率高于平房居民,可能和人体功率学有关。Objective To verify the previous ILAR-China study which concluded lower prevalence of knee pain (KP) and lumbar pain (LP) in south China compared with the higher prevalence in the north,and to understand the associated risk factors. Methods A population based sample of 2040 adults aged 16 years and over was studied in an urban area close to the rural area as previously studied in south China. Primary health workers conducted the COPCORD Phase Ⅰ and Ⅱ questionnaires. Those with rheumatic symptoms were recalled for medical examination with a response rate at examination (phase Ⅲ) of 98.4%. At phase IV those suspected to have arthritis were tested with X-rays and laboratory tests. Results The prevalence of all rheumatic symptoms was 18.1%. Of the 7.5% with knee pain (KP), 55% had osteoarthritic changes on X-ray (KOA) compared with 29% of a sample with no KP (P<0.01). Of the 11.5% with lumbar pain (LP), 69% had degenerative changes on lumbar spine X-ray (LOA). Of residents in single level house the prevalence was 5.6% for KP and 7.9% for LP, whereas in four to six level apartment buildings these rates were significantly higher at 9.1% and 16.2% respectively. All these pain rates were significantly lower than noted in north China. The prevalence of pain combined with X-ray OA changes in the knee (KOA) was half the rate in single floor (2.7%) than in multi-level apartment buildings (5.3%) as was lumbar spine degenerative disease (LOA) (5.3% vs 11.5%). Conclusion The prevalence of knee and lumbar spine pain in this southern urban sample is confirmed to be much lower than in the north. The decrease in prevalence of knee and back pain with latitude suggests an association with climate. The knee and back pain is twice as prevalent in multi-level apartment building residents as in those living in older single level houses suggests that, it may be related to ergonomic factor.

关 键 词：患病率 研究报告 北方 南方 膝痛 腰痛 汕头 相关危险因素 腰椎骨关节炎 实验室检查 膝骨关节炎 80年代 20世纪 社区控制 气候因素 LP 居民 抗风湿 风湿病 询问表 风湿痛 

分 类 号：R593[医药卫生—内科学]